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Meanwhile, in comparison to the control group, GHK-Cu accelerated the regeneration of nerve fibers from nerve stubs placed in a collagen tube, increased the number of axons and the proliferation of Schwann cells, and boosted the synthesis of nerve growth factor and the neurotrophins NT-3 and NT-4 23

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22,23 In patients with a normal or low-normal serum vitamin B 12 level, complete blood count results demonstrating macrocytosis, or suspected clinical manifestations, a serum methylmalonic acid level is an appropriate next step 1,2,6,18 and is a more direct measure of vitamin B 12 's physiologic activity